Latest Inspection
This is the latest available inspection report for this service, carried out on 26th November 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Tanglewood.
Annual service review
Name of Service: Tanglewood The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Dianne Thompson Date of this annual service review: 2 2 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 72 Albert Road South Malvern Worcestershire WR14 3AH 01684576231 01684576219 wayne.whittaker@sense.org.uk www.sense.org.uk Sense, The National Deafblind and Rubella Association Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : sensory impairment Conditions of registration: Number of places (if applicable): Under 65 Over 65 7 0 The maximum number of service users who can be accommodated is: 7 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Sensory Impairment (SI) 7 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The national charity Sense is the service provider. The building was extensively altered and refurbished for Tanglewood to provide facilities for seven young adults with sensory, physical and learning disabilities. Single bedrooms with en-suite facilities are provided, five of which are fitted with overhead hoists to facilitate movement from bedroom to ensuite. Communal facilities are spacious and mobility equipment is provided. There are excellent garden facilities suitable for the people who live in the home. Tanglewood is in a residential area of Malvern with access to shops, leisure Annual Service Review Page 2 of 7 centres and GP surgery locally. The home also has access to other recreational activities in the Malvern and Worcester area. Information about the fees for the service is included in the service user guide. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we had received or asked for since the last key inspection which was carried out on 17th June 2007. This included: The annual Quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a selfassessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical data about the service. Surveys returned to us by staff from the home. The previous key inspection. Other information we have been told about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA), which was clear and gave us information about what they are doing now and what they want to do in the future. They told us how they had progressed from the last key inspection. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service. They told us about how they have met issues relating to Equality and Diversity. This includes the following:Each person who lives at Tanglewood has a care plan that details all of their needs and preferences. These include race, gender, disability and communication, sexuality, age, and religious preferences. We hold two meetings a year for each Deaf blind person where we discuss their preferences and needs. These meetings are multi disciplinary meetings and aim to have a wide and useful debate about each persons wishes and preferences. Gender is taken into consideration at all times when recruiting staff and producing rotas. Tanglewood employs a Practice Development Worker. This person is responsible for ensuring that the special needs of all of the deaf blind people are met. This includes completing assessments on key areas of peoples lives such as vision and hearing, communication, health, mobility and their learning needs. As a result of the assessments the care plans include guidance for staff on how to offer each person the specialist support that they require. For example, each person has mobility guidelines that advise staff on how best to support the person to independently move around their environment and how to give them all of the information that they require to be independent. What are we going to do as a result of this annual service review? Tanglewood has promoted the learning of British Sign Language within the staff teams. This has enabled the whole team to improve their communication skills with
Annual Service Review Page 4 of 7 each other, deaf service users and other deaf people, we have added this to our staff meetings and we practice signing as a group. We have also started a Hand under Hand signing session to improve the working practice of the staff to enable better support of the people who live at Tanglewood. As an organisation we have a Cultural Diversity Group who meet to discuss the needs of the people that we support and pass on information about local events or meetings, our PDW is part of this group. The information contained within the AQAA also confirms that, through the staffing group employed, the home reflects the diversity of the people who use the service. Tanglewood has also supported 58 of its work force to complete NVQ at level 2 or above. The organisation has a good management structure and quality assurance mechanism, which ensures standards are maintained and enhanced through continual scrutiny and monitoring. This helps to safeguard and improve the quality of life of those people who use the service. This quality assurance system is in place in all Sense homes in Birmingham and ensures that managers skills are transferable across different homes. Internal audits take place annually, these are completed by the managers and/or by the policy and quality audit team. These include getting feedback from stakeholders and deaf blind people where possible. People using the service are consulted about the service. The AQAA tells us how this is done and includes: We have structured and tailored individuals schedules of activity to what they have shown a preference for. If an individual is unable to communicate their preference to us then as a Multi-Disciplinary team we have identified from individual observations what people seem to enjoy or not enjoy. We have had one person come into the service since our last inspection so we have ensured that the transition has been a success. We ensured that the person had a voice through this process and that any negative effects to people living at Tanglewood were minimised. We have sourced new activities for people to experience and have changed the times and days of planned activities to suit the individuals at Tanglewood. We have arranged and been on individual and group holidays with the people who live at Tanglewood, holidays last year included a large House in Westward Ho in Devon. The house that we rented suited the individuals perfectly with an on site pool, Jacuzzi, gym and access to woodland walks, a trip to Euro Disney for 2 people, this was a major success and our first trip abroad, a 1:1 holiday to Spain on a site that caters for disabled people and an other 1:1 holiday to the Derbyshire Dales so one person could meet up with their family. We have made alterations to the environment to benefit the people at Tanglewood, such as providing more equipment in the activity room for people to access, these include a Perkins Brailler, a range of art materials, tactile games, a soft play area and a keyboard. We have also made alterations to the external environment such as putting in additional hand rails where needed, purchasing new garden furniture and a swing seat
Annual Service Review Page 5 of 7 for people to relax on. We have also had two new vehicles that are roomier and allow a better seating plan for the people who live at Tanglewood. Annual Service Review Page 6 of 7 Reader Information
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